SHARON KAY GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000990

License Status

NOT RENEWED

Business

First Name

SHARON KAY

Last Name

GREEN

Business Name

SHARON KAY GREEN

Original Issue Date

12/07/1967

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2012